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Posts Tagged ‘Indiana’
October 7th, 2014 at 6:06 pm
Pence-HHS Negotiations over How to Expand Medicaid Stall

A months-long negotiation over whether and how Indiana might expand Medicaid under ObamaCare may be coming to an impasse.

On Monday, Indiana Republican Governor Mike Pence emerged from a meeting with federal Health and Human Services Secretary Sylvia Burwell Mathews without any positive news.

“We had a substantive discussion, but we are not there yet,” Pence said in a statement quoted by the Indianapolis Star.

At issue is whether Indiana will be able to use ObamaCare’s Medicaid expansion dollars in a way that moves the program in a more market-friendly direction. As I’ve written before, conservatives can support reforms to entitlement programs so long as they move in that direction.

With HHS refusing to let Indiana require modest co-pays under its expanded Medicaid plain, the next move is up to Pence. He could weaken his proposal, but doing so would sacrifice any pretense his plan has for being fiscally conservative. On the other hand, he could stand firm on principle and absorb the potentially damaging criticism that he’s leaving almost $1 billion in federal Medicaid payments on the table – all of which is new taxpayer-financed spending.

Pence is thought to be a dark horse GOP candidate for president in 2016. His decision on this policy issue will go a long way towards determining how viable such a campaign would be.

August 14th, 2014 at 8:35 pm
Indiana Jumps on the Halbig Bandwagon

Add Indiana to the list of states arguing that ObamaCare’s subsidies can’t be used on Healthcare.gov, the federal exchange.

The challenge is the same mounted by other states contesting the IRS’s unilateral decision to go against the clear language of ObamaCare which makes subsidies available only on state-based exchanges, a restriction intended to induce states to shoulder the implementation costs for fear of angering residents by exposing them to ObamaCare’s real costs.

U.S. District Judge William T. Lawrence will decide whether Indiana’s case has merit in October. Precedent from other circuits isn’t all that helpful, since the D.C. Circuit upheld the statutory scheme while the Fourth Circuit sided with the IRS.

The silver lining: Whatever Lawrence and the appellate circuit decide will further fragment ObamaCare’s implementation, increasing the likelihood that the Supreme Court will weigh in.

Whenever that happens, hopefully there will still be five votes to uphold the plain meaning of the law.

H/T: Indianapolis Star

April 5th, 2013 at 3:52 pm
HHS Refuses State Requests for Medicaid Expansion Flexibility

States looking for flexibility under ObamaCare in how to structure and pay for expanding Medicaid can take a hike, according to an analysis by the Heritage Foundation.

States like Arkansas and Indiana have requested waivers from the health reform law’s expansion formula that creates millions of new enrollees at an eventual cost of billions of dollars to states.

The hope was to use existing state-based models like Indiana’s successful health savings account for low-income Hoosiers to increase Medicaid enrollment while retaining cost certainty for state budget writers.

But those hopes were dashed after the federal Department of Health and Human Services released a frequently asked questions (FAQ) sheet that flatly denied any request to deviate from ObamaCare’s one-size-fits-all, open-ended spending commitment for Medicaid.

With this announcement, the Obama administration has definitively articulated its idea of bipartisan reform.  Republican governors who capitulate and get in line are welcomed with open arms.  Those like Indiana’s Mike Pence can take their policy entrepreneurship somewhere else.

April 1st, 2013 at 2:49 pm
Indiana’s Pence Makes Progress with Innovative Medicaid Expansion

The Indianapolis Star reports that Indiana Republican Governor Mike Pence, a possible 2016 presidential candidate, cleared an important hurdle today when the state’s House Public Health Committee approved a bill to expand Medicaid eligibility without relying on ObamaCare’s open-ended spending incentives.

Pence’s plan would increase Indiana’s Medicaid enrollment by an estimated 400,000, but within the state’s Healthy Indiana initiative begun in 2007.  As a health savings account, Healthy Indiana allots a certain amount of money to qualifying Hoosiers who then shop for doctors and treatment options within their budget.  In effect, it transfers the decision making process for health care away from government bureaucrats to private citizens.  By capping the amount, Healthy Indiana also gives state budget writers more certainty about the cost of Medicaid expansion in future years.

Contrast this with the unlimited spending commitment envisioned by the Medicaid expansion system under ObamaCare, and conservatives will see why Pence’s proposal should be watched closely.  Under ObamaCare, states would pay no cost for expanding their eligibility pool up to 138 percent of the federal poverty line.  But starting in 2017, those that expanded enrollment would pay for 10 percent of the increase.  Though seemingly a small percentage, the costs will run into the billions, with even more likely if the federal government decides to reduce its 90 percent subsidy, as President Barack Obama has already hinted at doing.

The future of health insurance reform looks like it will include some mix of government-regulated exchanges, subsidies, and cost controls.  The question dividing conservatives like Mike Pence and Paul Ryan on one hand from liberals like Obama on the other, is who gets to make the lion’s share of the decisions on how health insurance dollars are spent.  Conservatives value individual choice, while liberals favor centrally planned mandates.

Ironically, if the President wants ObamaCare to be fiscally sustainable, he’ll have to accept that the only way to do it is allowing conservatives like Pence and Ryan to inject into it as much personal freedom as possible.

February 8th, 2013 at 8:15 pm
Indiana’s Pence Wants Sensible Reform to Medicaid Expansion

Like Ohio’s John Kasich and four other Republican governors, Indiana’s Mike Pence seriously considered expanding Medicaid eligibility under ObamaCare.  But unlike Kasich & Company, Pence ultimately decided against it when HHS refused to grant him one sensible reform.

Established under Mitch Daniels, Pence’s predecessor, the Healthy Indiana program allows uninsured adults aged 19-64 to use a state-based health savings account to pay for medical expenses, such as doctor’s visits, hospital services, diagnostic tests, and prescription drugs.  Incentives apply to reward cost-effective spending, but it’s critical to point out that the spending decisions within the account are determined by the policyholder, not the state.

In order to go along with expansion under ObamaCare that increases the eligibility pool for Medicaid, Pence asked permission to use Healthy Indiana accounts to help keep costs down.  The request is imminently reasonable.  If the purpose of Medicaid expansion is to cover uninsured people, why not let Indiana migrate a state-based program with a 94% satisfaction rating?

Predictably, Kathleen Sebelius’ Department of Health and Human Services said no, preferring to retain federal control over coverage and spending.  Without a program like Healthy Indiana in place, costs are likely to spiral upward since Medicaid beneficiaries are not tethered to the consequences of their spending decisions.

So, Pence said no to the Medicaid expansion.  But I think it’s crucial to understand that his response was not a kneejerk reaction against helping the uninsured get normal access to healthcare.  Instead, he proposed a sensible reform that would have accomplished the same goal as Medicaid expansion, but with more cost certainty for the state budget, and thus less tax receipts from taxpayers.

I’ve speculated before that Pence might be the GOP’s best bet in the 2016 presidential race.  A moment like this, even when it doesn’t result in a “win” politically speaking, helps confirm that suspicion because it’s based on sound principles.

October 24th, 2012 at 8:17 pm
How to Lose a Close Election
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No, I’m not talking about the abortion dustup in Indiana’s U.S. Senate race , where I’m not sure the Republican candidate is as embattled as the media thinks (reason #1: members of the coastal media and members of the Indiana electorate might as well be from different species).

Rather, I’m referring to the U.S. Senate contest in Arizona, where Democrat Richard Carmona — a former Surgeon General in the administration of George W. Bush — has managed to run surprisingly close against Congressman Jeff Flake, a laudable champion of limited government. There’s been some mud thrown by both sides in recent weeks, but the newest development is a self-inflicted wound from Carmona. From a blog entry by Daniel Halper at The Weekly Standard:

“Obesity is the terror within,” Carmona told a University of South Carolina audience in early 2006, according to a wire report from then. “Unless we do something about it, the magnitude of the dilemma will dwarf 9-11 or any other terrorist attempt.”

Will Arizona — the state that gave us Barry Goldwater — really send a man to the U.S. Senate who regards the ice cream freezer of your local grocery store as more menacing than an Al Qaeda training camp? Count me skeptical.

 

August 23rd, 2012 at 1:12 pm
In Indiana, an Education Success Story
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Here at the Center for Individual Freedom, we recently launched a State Sovereignty Project that aims to encourage states to resist Washington’s encroachment on their constitutionally-protected powers. While resisting federal overreach is, in and of itself, a worthy pursuit, it becomes even more valuable when the states then use that freedom to enact major public policy innovations.

As I’ve noted here before, one of the areas where that charge is being met with the most vigor is in education reform, where a handful of Republican governors are transforming the way we think about public schools. One of the leading lights of this crusade has been Indiana’s Mitch Daniels, who successfully pushed legislation providing for the sweeping use of school vouchers in the Hoosier State. As a recent profile by The Economist notes, he’s getting results:

The voucher scheme, potentially the biggest in America, was set up a year ago as part of a big package of educational reforms led by Indiana’s governor, Mitch Daniels, and his superintendent of schools. These include teacher evaluations that take student performance into account, giving school heads more autonomy and encouraging the growth of charter schools. Jeanne Allen, president of the Centre for Education Reform, a Washington-based advocacy group, says the reforms are unique because Indiana has looked at education reform in its “totality”, rather than taking a piecemeal approach as many other states have done.

The Indiana scheme has allayed fears that vouchers will not reach their target audience of low-income families. In the first year about 85-90% of children receiving them have come from households that qualify for free school lunches. Moderate-income families can receive a voucher with a lower value. … Indiana’s philosophy of promoting choice has also extended to making it possible for students to apply to any public school—including those outside the school district in which the child lives. And some signs suggest greater choice is having a positive effect in Indiana. For one thing, some public schools have started to compete for students. They are advertising their educational prowess directly to parents, through billboard signs on highways, mailing campaigns and clothes carrying slogans. Schools are trying to make themselves more attractive to students, for example by buying iPads.

All well and good, but we can already hear the skeptics saying that competing for students isn’t the same as generating better results. Well …

The reforms have had already phenomenal results, according to Mrs Allen. Tony Bennett, the superintendent of public instruction in Indiana, arrived in 2009. Every student performance indicator has improved he says and over the last two years the state has ranked second in the country for achievement on college-level courses taken in high school. Graduation rates from high school are at an all-time high.

Competition is working intra-state in Indiana. Now, it falls to federalism to get it to work inter-state. If the Hoosier State keeps up the progress, it won’t be long before the nation’s education laggards start to realize that they could improve their results by following Indianapolis’ lead. No such comparisons would have been possible had education reform been imposed top-down from Washington. That’s one more reason to defend the Tenth Amendment.

April 26th, 2012 at 1:03 pm
With Time Running Out, Lugar Slipping Behind Tea Party Rival in Indiana
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Last month, I posted here about how longtime Indiana Senator Richard Lugar’s bid for a seventh (!) term in the upper chamber was being jeopardized by a strong Tea Party rival (State Treasurer Richard Mourdock) and revelations that Lugar doesn’t seem to actually have a residence in the Hoosier State. At the time, I wrote:

By election day, Lugar will likely be scrounging for every vote he can get. At that point, he may come to regret devoting so much of his energy to dismissing the concerns of conservative voters.

Hate to say I told you so. With only 12 days remaining until Indiana’s primary, Politico reports the following:

Indiana Sen. Dick Lugar has fallen behind state Treasurer Richard Mourdock by five points, according to a new poll released Thursday …

Mourdock’s lead is powered by self-described tea party conservatives, who comprise 36 percent of the GOP electorate.

Among that group of voters, Mourdock holds a commanding 63 percent to 24 percent lead.

The fact of the matter is that, should Dick Lugar lose this election, he will likely not choose to retire back to Indiana. That fact — and the mindset it represents — is reason enough for him to no longer represent the state in the U.S. Senate.

April 23rd, 2012 at 2:27 pm
Indiana Labor Union: Right-to-Work is Enslavement

Once upon a time, liberals scoffed at the idea that legislation needed to be constitutional in order to be lawful.  Remember then-House Speaker Nancy Pelosi’s infamous response to the question of where in the Constitution did Congress have the power to pass Obamacare: “Are you serious?”

Well, after the U.S. Supreme Court scared the daylights out of the liberal commentariat with pointed questions about Obamacare’s constitutionality, it seems that opponents of Indiana’s recent right-to-work law are trying their hand at interpreting the text instead of the spirit of the document.

The Daily Caller summarizes the argument:

Indiana’s law prohibits employers from making union membership a condition of getting or keeping a job. The union’s February lawsuit claimed the law violated its members’ Fourteenth Amendment guarantee of “equal protection” under the law.

But an amended complaint filed on Wednesday added a Thirteenth Amendment claim as well. The new lawsuit suggests that when nonunion employees earn higher salaries and better benefits because of the union’s negotiation on behalf of its members, the union has been forced to work for those nonunion employees for free.

And being forced to work without compensation, the union suggested in its revised lawsuit, is slavery.

It’s the height of hypocrisy for union leaders who’ve spent decades coercing membership and dues from any worker falling under their legally-sanctioned monopoly to claim that economic enslavement only occurs when its members have to subsidize benefits other people don’t value.

In a sane world, the union’s lawsuit would be thrown out with prejudice as a waste of court time and resources.

But this is the Age of Obama.  How much longer can it be before the Department of Justice and the National Labor Relations Board weigh-in with briefs defending the indefensible?

March 20th, 2012 at 5:52 pm
Tea Party’s Next Stop: Indiana?
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A little over a year ago, I wrote a column here at CFIF looking at the potential primary challenges facing two veteran Republican members of the U.S. Senate up for reelection in 2012: Utah’s Orrin Hatch and Indiana’s Richard Lugar. Both have grown long in the tooth over decades in the upper chamber; and both are regarded with suspicion by conservative activists who find their sense of principle lukewarm. The difference between the two, as I emphasized then, is how they have approached the challenge. Hatch has been doing his ready best to convince Tea Party activists that he’s an effective defender of conservative values. Lugar, on the other hand, has regarded the resistance with an attitude bordering on contempt.

While neither’s fate is yet certain, both are becoming clearer. As I mentioned on the blog last week, Utah held caucuses on Thursday that determined delegates to the party’s state convention — delegates who would select the eventual nominee for the Senate seat. As the Wall Street Journal reported:

Sen. Orrin Hatch, targeted by primary challengers and a tea party-aligned group, apparently has won a healthy share of delegates to the Utah Republican convention. That gives him a good shot at avoiding being defeated at the convention, as a Senate colleague was two years ago.

The news isn’t looking as sunny for Lugar, however. From National Journal:

A new poll … shows Republican Sen. Richard Lugar leading GOP state Treasurer Richard Mourdock by single digits, 45-39 percent.

The poll of likely Republican primary voters shows Lugar’s lead shrinking over his underdog opponent ahead of the May 8 primary. In October, Lugar led Mourdock 48 percent to 36 percent. Fifty-seven percent of likely Republican voters said they would consider another candidate or vote to replace Lugar.

In the last six weeks, Lugar’s faced an onslaught of questions from opponents and the media about his residency. He lives in northern Virginia but is registered to vote in the Hoosier state at the address of a home he sold in 1977. The state has ruled that he is eligible to run for reelection but a county elections board ruled last week that he is not eligible to vote.

This kind of trajectory — with this kind of timeframe (approximately a month and a half until primary day) — looks very bad for Lugar. So do the dynamics moving forward. There’s a natural ceiling on the number of voters who will shift their allegiance because of ideology, favoring a more conservative candidate than Lugar. But many less issue-driven voters will likely be turned off by the residency question (a similar controversy contributed to Elizabeth Dole’s loss in the general election in North Carolina in 2008).

By election day, Lugar will likely be scrounging for every vote he can get. At that point, he may come to regret devoting so much of his energy to dismissing the concerns of conservative voters.

February 24th, 2012 at 11:58 am
Podcast: CEI’s Vincent Vernuccio Discussed State Right-to-Work Statutes
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In an interview with CFIF, Vincent Vernuccio, Labor Policy Counsel at the Competitive Enterprise Institute, discusses Indiana’s passage of a right-to-work law that prohibits labor contracts that force workers to pay for union representation, and the impact of such statutes on jobs and the economy.

Listen to the interview here.

September 30th, 2011 at 2:47 pm
Tea Party Express Backs Lugar’s Primary Challenger

According to Roll Call, it’s official: there will be at least one incumbent Republican senator having to defend his record against Tea Party criticisms next year.  The Tea Party Express, a group known for helping challengers Sharron Angle (NV), Joe Miller (AK), and Christine O’Donnell (DE) win Republican primaries, is backing Indiana State Treasurer Richard Mourdock’s bid to replace Senator Richard Lugar.

Though Mourdock presumably appreciates the support, he probably wants a better finish then the three mentioned above.  All lost in the general election.

April 20th, 2011 at 2:53 pm
Club for Growth to Lugar: Retire

Roll Call says Club for Growth President Chris Chocola is readying his group for another take-down effort of a moderate GOP senator.

Chocola, a former Congressman from Indiana who served in the House from 2003 to 2007, told ABC’s “Top Line” that his fiscally conservative organization is considering getting involved in Lugar’s 2012 re-election campaign in the Hoosier State. The club has already met with Lugar’s primary opponent, state Treasurer Richard Mourdock (R).

Club for Growth already helped scare former Senator Arlen Specter into switching parties rather than face one-time CG president Pat Toomey in a primary.  Specter wound up losing the Democratic nomination to former Rep. Joe Sestak.  Toomey ultimately prevailed in the general election.

With Lugar’s (lack of) residency in Indiana and tutelage of President Barack Obama likely to become campaign issues, Indiana just might elect a conservative the rest of America deserves.

March 31st, 2011 at 12:36 am
Indiana GOP Poised to Pass Sweeping School Voucher Program

Indiana Republicans are expected to pass major school choice legislation in the next few days, allowing a family of four with incomes as high as $60,000 the opportunity to spend their tax dollars on the kind of education they want.

Here’s a perfect summary of the argument for public school vouchers from one Hoosier supporter:

“We fund education for a reason — to give individual children the skills they need to compete in life,” said Luke Messer, former executive director of the Indiana Republican Party who now heads School Choice Indiana. “If the money follows the child, parents ought to have the right to put their child in whatever opportunity they think would best serve their family.”

Vouchers put power into the hands of those most affected by choices about schools: families of students.  Let’s hope Indiana Republicans go to the mat for this one.

February 14th, 2011 at 9:52 pm
Fiscal Conservatism, in One Paragraph
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There were many fine speeches from last week’s Conservative Political Action Conference (CPAC) that deserved the attention of thoughtful conservatives. First among equals, however, was the address that Indiana Governor Mitch Daniels gave for Friday night’s Ronald Reagan Centennial Dinner.

The speech — written by Daniels himself — shows that the potential 2012 presidential candidate is not only a brilliant manager and a canny politician, but also an extremely sophisticated (and subtle) writer. In its defense of a prudent conservatism, the speech demonstrated that Daniels, not Barack Obama, is the great literary talent of 21st century politics. For unlike The One, Daniels speech was drenched in substance.

As such, the speech deserves no less than to be read in its entirety. Failing that, however, no passage deserves isolated quotation as much as Daniels’ definition and defense of fiscal conservatism, a masterpiece of dictional economy:

We believe it wrong ever to take a dollar from a free citizen without a very necessary public purpose, because each such taking diminishes the freedom to spend that dollar as its owner would prefer. When we do find it necessary, we feel a profound duty to use that dollar as carefully and effectively as possible, else we should never have taken it at all.

That’ll do, Mitch. That’ll do.

January 13th, 2011 at 7:58 pm
Hoosier President?

Governor Mitch Daniels (R-IN) delivered his State of the State Address on Tuesday night to a joint session of the state legislature.  Among several terrific proposals to make government leaner and more efficient, Daniels suggested the following fiscal policy:

And, to hasten the return of an even stronger fiscal position, I again ask you to vote for lasting spending discipline by enacting an automatic taxpayer refund. When the day comes again when state reserves exceed 10 percent of annual needs, it will be time to stop collecting taxes and leave them with the people they belong to. Remember what the Hoosier philosopher said: “It’s tainted money. ‘Taint yours, and ‘taint mine.” Beyond some point, it is far better to leave dollars in the pockets of those who earned them than to let them burn a hole, as they always do, in the pockets of government.

Republicans in Washington, D.C. and around the country should be listening to the Hoosier State governor who just might be the right man for the presidency in 2012.  Check out the entirety of Daniels’ speech here.

January 27th, 2010 at 1:42 am
Millions for Democratic Losses, But Not a Pence for Republican Victories
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Bad news for political junkies — what could have been the title fight of the 2010 midterm elections in the U.S. Senate has been called off.

RedState reported this morning that conservative Indiana Congressman Mike Pence has decided against challenging moderate Democratic Senator Evan Bayh for his seat this year.

No doubt that it would have been an uphill fight. Bayh comes from an extremely popular political family in the Hoosier State, and his own career as a centrist governor-cum-senator has endeared him to his electorate. He’s also towards the bottom of the list of Democrats in the Senate who are threatening to conservative principles (and one of the few who sees the folly in the liberal thrust of the current Democratic leadership).

Yet the fact of the matter was that Pence was outpolling Bayh (albeit narrowly) without so much as announcing. Pence’s victory could have gone a long way towards driving a total electoral scramble in November.

Hopefully, the talented, able, articulate Pence goes back to the grindstone in the House. If he’s passing up the Senate race to take a crack at the White House (as RedState suggests he may be), he’s trading the improbable for the virtually impossible. Only one sitting U.S. Representative has ever been elected to the presidency — and Washington isn’t exactly brimming with people looking to replicate James Garfield’s legacy.